Individual
RODNEY R STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 FRENCH ST, PESHTIGO FAMILY PRACTICE, PESHTIGO, WI 54157-1203
(715) 582-9949
(715) 582-4414
Mailing address
441 FRENCH ST, PESHTIGO FAMILY PRACTICE, PESHTIGO, WI 54157-1203
(715) 582-9949
(715) 582-4414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45934020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34429700
—
WI
Enumeration date
09/30/2005
Last updated
06/17/2008
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